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Fluoroscopic technique versus Phemister technique for epiphysiodesis
F J Liotta1, T A Ambrose, R E Eilert
1Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver.
Journal of Pediatric Orthopedics
|March 1, 1992
Summary
The fluoroscopic technique for epiphysiodesis in limb length discrepancy offers a shorter hospital stay and less need for physical therapy compared to the Phemister technique, with similar efficacy and complication rates.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
Background:
- Limb length discrepancy is a common pediatric orthopedic condition.
- Epiphysiodesis is a surgical procedure to arrest bone growth and correct discrepancies.
Purpose of the Study:
- To compare the outcomes of the Phemister technique and the fluoroscopic technique for epiphysiodesis.
- To evaluate efficacy, hospital stay, physical therapy needs, and complication rates.
Main Methods:
- Retrospective study of 70 patients undergoing epiphysiodesis.
- 44 patients received the Phemister technique, 26 received the fluoroscopic technique.
- Data collected on growth plate arrest, hospital stay, physical therapy, and complications.
Main Results:
- Both techniques achieved 100% growth plate arrest.
- Fluoroscopic technique had a shorter hospital stay (1.8 vs. 3.5 days) and lower physical therapy requirement (8% vs. 40%).
- Complication rates were similar (4.5% Phemister vs. 4% fluoroscopic).
Conclusions:
- The fluoroscopic technique is a safe and effective alternative to the Phemister technique.
- Fluoroscopic technique offers advantages including smaller scars, less postoperative stiffness, and shorter hospital stays.
- The fluoroscopic technique is recommended for epiphysiodesis due to comparable results and improved patient outcomes.